DR. STEPHEN MARK CONE M.D.
NPI 1912900184
Obstetrics & Gynecology in Houston, TX

Q: What is Stephen Cone's NPI number?

The NPI number for Stephen Cone is 1912900184. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Q: What is Stephen Cone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Cone was last updated on September 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment

7900 FANNIN ST STE 4000, OBGYN MEDICAL CENTER ASSOCIATES PLLC, HOUSTON, TX 77054(713) 512-7500(713) 512-7623 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Stephen Mark Cone M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN MARK CONE M.D. (NPI 1912900184) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (H8977) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1989).

NPPES Registry Identity

NPI1912900184

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. STEPHEN MARK CONECredential: M.D.

Location Address7900 FANNIN ST STE 4000, OBGYN MEDICAL CENTER ASSOCIATES PLLCHouston, TX 77054-2935

Mailing Address7900 Fannin St Ste 4000, Obgyn Medical Center Associates PllcHouston, TX 77054-2935 · (713) 512-7500 · Fax (713) 512-7623

Phone(713) 512-7500

Fax(713) 512-7623

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 1989

Enumeration DateMay 23, 2005

Last NPPES UpdateSeptember 3, 2015

✔ NPI 1912900184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · H8977

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

7900 FANNIN ST STE 4000, Houston, TX 77054

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Other Identifiers 6

Medicaid1149882-03TX

Medicare PIN84277JTX

Medicare PIN84379JTX

Medicare UPINF12800TX

Other83042GTX · Blue Cross & Blue Shield

Medicare PIN84320JTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephen Mark Cone M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557266590

PECOS Enrollment IDI20100917000435

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

554 services554 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

546 services546 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

92 services87 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

51 services51 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

50 services50 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

42 services40 patients

Established patient office or other outpatient visit, 20-29 minutes 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services27 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

27 services27 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

16 services16 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

15 services14 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

12 services12 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

95%1,549 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%68 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

33%1,064 patients2/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%1,064 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

86%1,064 patients4/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

80%1,064 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOUSTON FERTILITY SPECIALISTS, PLLC

Obstetrics & Gynecology (Reproductive Endocrinology)

7900 FANNIN ST STE 4000
HOUSTON, TX 77054

Harris County (713) 512-7027

DR. JAMES R GULLETT M.D.

Obstetrics & Gynecology

7900 FANNIN ST STE 4000, OBGYN MEDICAL CENTER ASSOCIATES, PLLC
HOUSTON, TX 77054

Harris County (713) 512-7500

DR. DAWN DICKSON BLACK M.D.

Obstetrics & Gynecology

7900 FANNIN ST STE 4000, OBGYN MEDICAL CENTER, PLLC
HOUSTON, TX 77054

Harris County (713) 512-7500

DR. JASON E COOPER M.D.

Obstetrics & Gynecology

7900 FANNIN ST STE 4000, OBGYN MEDICAL CENTER ASSOCIATES, PLLC
HOUSTON, TX 77054

Harris County (713) 512-7500

CARLOS C RAMOS M.D.

Obstetrics & Gynecology

7900 FANNIN ST STE 4000, OBGYN MEDICAL CENTER ASSOCIATES PLLC
HOUSTON, TX 77054

Harris County (713) 512-7500

PETER M LOTZE M.D.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

7900 FANNIN ST STE 4000, WOMEN'S PELVIC RESTORATIVE CENTER PLLC
HOUSTON, TX 77054

Harris County (713) 512-7600

IVONNE E SMITH M.D.

Obstetrics & Gynecology

7900 FANNIN ST STE 4000, OBGYN MEDICAL CENTER ASSOCIATES PLLC
HOUSTON, TX 77054

Harris County (713) 512-7500

DR. TARA L. BRUCE M. D.

Obstetrics & Gynecology

7900 FANNIN ST STE 4000
HOUSTON, TX 77054

Harris County (713) 512-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Cone's NPI number?

The NPI number for Stephen Cone is 1912900184. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Stephen Cone located?

Stephen Cone practices at 7900 Fannin St Ste 4000 Obgyn Medical Center Associates PLLC, Houston, TX 77054. The listed phone number is (713) 512-7500.

What is Stephen Cone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Stephen Cone enrolled in Medicare?

Yes. Stephen Cone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephen Cone accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Stephen Cone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Cone was last updated on September 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.